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Occupational Therapy, Self-Care Training

Montana rates for HCPCS 97535

An occupational therapist works one-on-one with a patient to build or relearn skills needed for daily activities such as dressing, bathing, cooking, or managing a household. This is billed in 15-minute increments and is often used after an injury, surgery, or illness that affects a person's ability to manage everyday tasks.

Rates data updated July 2026.

How much does Occupational Therapy, Self-Care Training cost?

$35.48

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $35.48 for this service. The price depends on where it is billed: about $34.67 from a physician practice, and about $56.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$34.67$23.99 to $51.29
FacilityA hospital or hospital-owned outpatient department$56.23$42.66 to $57.54

How much rates vary

Facilitymedian $56 · 10th to 90th $28 to $63Professionalmedian $35 · 10th to 90th $14 to $141
$100$1K$10K$100Kfacility $56professional $35

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$28.84
Typical High
$154.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$64,565.42
Median
$75,857.76
Typical High
$91,201.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$51.29
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$56.23
Typical High
$61.66
Cigna
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$43.65
Typical High
$57.54
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$58.88
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$56.23
Typical High
$58.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$32.36
Typical High
$61.66
Providence
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$52.48
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$85.11

Where Montana sits

The same service costs 2.6 times more in Alaska than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 12th of 51

$35.48

AK $58.88DE $22.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.